Gomery, Pablo

Gomery, Pablo is an individual health care provider with primary practice located at 55 Fruit St Grb 1102 Department Of Urology, Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gomery, Pablo can be contacted via phone (617) 726-8482.

Contact Information

Primary practice address
55 Fruit St Grb 1102 Department Of Urology Boston MA 02114-2696
Phone: (617) 726-8482
Fax: (617) 726-6131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 38936 Massachusetts

Profile Details

NPI number 1477527109
LBN Legal business name Gomery, Pablo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated May 21st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477527109 NPPES
Massachusetts Other E05279 BCBS MA
Massachusetts MEDICAID 2098199 BCBS MA
Massachusetts Other 718390 BCBS MA

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